Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
04286 - Payer ID
04286MA - Payer ID
3628 - Payer ID
6432 - Payer ID
HLTNE - Also listed as Baystate Health
Coverage states
Connecticut, Massachusetts.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan your electronic workflow
- Send institutional claims through 837I and professional claims through 837P; confirm the claim type before submission.
- Run a 270/271 eligibility and benefits check before visits or billing, but do not expect a separate coordination-of-benefits inquiry.
- Complete payer enrollment before relying on ERA 835; until enabled, use your existing remittance workflow.
- Track claim follow-up manually or through another available method because 276/277 claim status transactions are not supported.
- Do not plan electronic dental claims, EFT, combined ERA/EFT, or attachments through this payer.
Common questions
Can I submit both professional and institutional claims electronically?
Yes. This payer supports 837P professional claims and 837I institutional claims.
Does electronic eligibility include coordination of benefits?
Standard eligibility and benefits checks use 270/271 and are supported. Coordination-of-benefits inquiries through 271 are not supported.
How do I receive ERA files from this payer?
ERA 835 is supported only after the practice completes payer enrollment. Do not expect ERA delivery until that enrollment is completed.
Does this payer support claim status, EFT, or attachments?
No. Claim status 276/277, EFT, combined ERA/EFT, and 275 attachments are not available, and dental claims 837D are also unsupported.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo